Individual
MARIA GABRIELA CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7224 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5417
(201) 869-4603
(201) 869-4605
Mailing address
7224 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5417
(201) 869-4603
(201) 869-4605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08387600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172847
—
NJ
Enumeration date
06/02/2008
Last updated
08/05/2013
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